Individual provider Active NPI

Buli Borah, FNP-BC

  • Family Nurse Practitioner
  • Roanoke, VA
National Provider Identifier
1720793961
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024186219 Issued in VA
Practice address
1345 Plantation Rd NE
Roanoke, VA 24012-5712
Phone
(833) 510-4357
NPI assigned
Jan 23, 2023
Last updated
May 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024186219 VA Primary
Registered Nurse 163W00000X 0001290521 VA

Addresses

Primary practice location

1345 Plantation Rd NE
Roanoke, VA 24012-5712

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (833) 510-4357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230308003177 VA Practitioner - Nurse Practitioner 3971976127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brightview LLCGroup PAC ID 9032426044, 117 clinicians

Practice addresses (Care Compare)

1345 Plantation Rd NE
Roanoke, VA 24012-5712
Phone (833) 510-4357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001290521VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Brightview LLC CurrentSince Nov 20, 2023 Accepting new patients
Brightview LLC CurrentSince Nov 20, 2023 Accepting new patients

Locations

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

209 Research Dr
Ste 102
Chesapeake, VA 23320

516 Innovation Dr
Ste 102
Chesapeake, VA 23320
Phone (757) 382-9400

480 Mount Cross Rd
Danville, VA 24540

5610 Southpoint Centre Blvd
Fredericksburg, VA 22407
Phone (540) 207-5288

16 Pleasant Hill Rd
Harrisonburg, VA 22801
Phone (419) 546-0788

3704 Old Forest Rd
Lynchburg, VA 24501

1836 Virginia Ave
Martinsville, VA 24112
Phone (419) 580-1305

5001 W Village Green Dr
Ste 205
Midlothian, VA 23112
Phone (804) 744-6700

11745 Jefferson Ave
Ste 10B
Newport News, VA 23606
Phone (757) 315-6905

5357 Henneman Dr
Norfolk, VA 23513
Phone (757) 855-9700

4140 Crossings Ct
Ste 101103
Prince George, VA 23875
Phone (757) 695-9406

1345 Plantation Rd NE
Roanoke, VA 24012
Phone (513) 843-7063

2790 Godwin Blvd
Ste 210
Suffolk, VA 23434
Phone (757) 934-3700

101 N Lynnhaven Rd
Ste 100
Virginia Beach, VA 23452
Phone (757) 264-9957

200 Faraday Plz
Winchester, VA 22603
Phone (724) 466-2434

4899 Prince William Pkwy
Woodbridge, VA 22192

Interoperability endpoints

  • Direct secure messaging: bborah120364@direct.carilionclinic.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1720793961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600",
            "telephone_number": "833-510-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 PLANTATION RD NE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240125712",
            "telephone_number": "833-510-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORAH",
        "first_name": "BULI",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024186219",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001290521",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.